"Doctor Ling, this is the patient, Liu Lisheng, seventeen years old. His shoulder has been dislocated many times, and he has never undergone surgery before. This time, he injured his left shoulder while skiing and was sent to the hospital … "Zuo Cidian only introduced the patient's specific situation to Ling Ran when he entered the ward.
Although this patient was related to Department Director Hu's attitude in the Orthopedics Department, it was common for surgeons to forget what they had said when they entered the ward.
Ling Ran naturally walked to the patient and gestured for Zuo Cidian to show him the scans. At the same time, he said to the patient, "I'll give you a check-up."
Zuo Cidian secretly took a deep breath before he obeyed Ling Ran's order.
In this way, Ling Ran completely abandoned the Orthopedics Department.
Although Department Director Hu was not the department director of the Orthopedics Department, usually, when Department Director Hu said this, it meant that he had either obtained the department director's approval or tacitly agreed.
In fact, if he thought about it, the Orthopedics Department would be unhappy and react sooner or later, since the Emergency Department had performed so many orthopedics surgeries.
If Huo Congjun were to intervene, the Orthopedics Department would probably tolerate it for the sake of his reputation and his tongue, but it would not be strange if there was a situation where they could no longer tolerate it.
There were too many things involved in the source of patients. Forget about the conflict between two departments, even the conflict within the same department would often be irreconcilable.
When Zuo Cidian thought about this, he decided not to think about it anymore.
From his point of view, Ling Ran did not have to offend Department Director Hu, but from another perspective, Department Director Hu was not very particular. Previously, when Department Director Huo organized the source of patients and developed new diseases and surgical methods, why did he not say anything? It was because he did not dare to go against the department director who had real power in Yun Hua Hospital? Then, he dared to go against Ling Ran because he thought that Ling Ran was still young.
In this case, Zuo Cidian felt that as long as Ling Ran was confident, he would go against him.
When he thought about it again, Ling Ran had even performed heart surgery, so shoulder surgery was nothing to him.
"Ouch …"
The seventeen-year-old young patient originally wanted to tense his shoulder, but after Ling Ran pulled it a few times, he cried out in pain.
Zuo Cidian saw that the patient's parents were frowning, so he quickly walked over and said, "This is a drawer test. It is to check the patient's shoulder instability, mainly to determine the degree of shoulder relaxation. As for whether it is conservative treatment or surgical treatment, it can only be decided after the examination. "
The patient's mother nodded reluctantly and said, "You can be lighter."
"Push the humerus bone to the front or the back. If the humerus bone moves forward by more than 25%, it will be considered a positive diagnosis. If you can't push the humerus bone to the right spot, the examination will be meaningless." Zuo Cidian still tried his best to explain, and at the same time, he showed off his abilities.
This kind of knowledge was something that he had learned by cramming later on.
The patient's family member was slightly worried. "Is it positive now?"
"Positive. This means that the joints are loose," Zuo Cidian said in a low voice.
"This … you can be sure just like that? That's too easy. "The patient's mother did not seem very willing.
"This only means that the joint is loose. What we're mainly concerned about is the indication of shoulder instability." Zuo Cidian tried to stall for time and said, "It's not that easy to make a surgical judgment."
As expected, the patient's mother's attention was caught. She asked, "So, it can still be treated conservatively?"
"No." At this time, Ling Ran bent the patient's upper arm 90 degrees forward, rotated it 90 degrees inward, and slightly adducted it. He then applied a backward force to do a jerk test and easily came to a conclusion.
At this time, the patient's father also said in a low voice, "This child has been dislocated before, but he has been treated conservatively."
"The condition of his shoulder joint is not suitable for conservative treatment at the moment." He did not think as much as Zuo Cidian. He said straightforwardly, "Based on all aspects of the situation, surgical treatment is the best plan at the moment."
"You just moved his arm, and you can prove that he's going to have surgery?" The patient's mother was not convinced. The difference between surgery and conservative treatment was too big. Forget about other things, they could not afford to waste time.
Moreover, Ling Ran did look a little young. Even if he was handsome, she could not care less about that now. Instead, she looked at Zuo Cidian and said, "Doctor, take another look. If you can treat him conservatively, try your best to treat him conservatively."
Most doctors would actually consider the patient's attitude based on their preferences. Zuo Cidian could not help but look at Ling Ran with some uncertainty.
However, Ling Ran's attitude did not change at all.
If the opinions of outsiders could easily affect him, then he could forget about doing what he wanted to do. Even if he was in kindergarten, girls would probably play house with him every day.
For Ling Ran, ignoring other people's words and focusing on scientific judgment was the only way to go.
In the face of the patient's family's opinion, Ling Ran said without hesitation, "I made the judgment of conservative treatment based on three points. First, through visual examination, the patient has a square shoulder deformity. It's not very obvious, but it indicates the risk. Second, the patient is positive for joint laxity and shoulder instability. Third, in the medical imaging, there are signs of interstitial syndrome and Moloney discontinuity in the X-ray alone, and it is verified by CT scan. Based on the above points, the patient must undergo surgery. "
Not only the patient's family, but all the doctors on the scene were dumbfounded.
Zuo Cidian even took notes quietly and thought, 'I have to remind young doctors to report like this in the future.'
"Does this mean that it's very serious?" The patient's mother still asked, unwilling to give up.
The group of doctors from the Emergency Department rolled their eyes habitually. Although Ling Ran's answer was very clear, the repeated questioning of the patient's family was actually the most familiar routine for the doctors in the Emergency Department when they received a clear diagnosis.
For patients with craniocerebral injury, patients with myocardial infarction, and patients with hemorrhage, their family members would often ask, "Is it serious?"
Naturally, Ling Ran often encountered similar situations.
However, he never expected the patient or the patient's family members to understand those seemingly ordinary words.
It was just like when doctors used the word "cancer" instead of "CA". Many patients and their family members would be deceived.
Ling Ran said directly when it came to shoulder instability, which was a rather rare topic, "It's very serious. Surgery must be carried out immediately. "
"Okay … okay." The patient's mother finally understood a little. Then, she panicked. She could not help but grab her husband's arm and ask, "What should we do?"
"Call the school to ask for leave, and also tell the tuition teachers. Don't inform our parents first. " The patient's father quickly said a few words, then looked at Ling Ran and Zuo Cidian, "What should we prepare?"
"We will arrange for you to be hospitalized and undergo surgery. Later, a nurse will come over to teach you. Prepare tens of thousands of RMB, pay the deposit …" After Zuo Cidian said that, he looked at Ling Ran and asked in a low voice, "Is it the Latarjet surgery?"
"Yes." Ling Ran nodded and said directly, "Let's go to the operating theater."
Zuo Cidian responded and breathed a sigh of relief. He suppressed the nervousness he felt earlier.
The Latarjet surgery was in Ling Ran's good zone. If the next few shoulder surgeries were in Ling Ran's good zone, Department Director Hu of the Orthopedics Department would not be able to do anything for the time being.
Then, if he delayed it a little, there might be a chance for things to turn around.
Zuo Cidian quietly thought about these trivial things. In the blink of an eye, Ling Ran was nowhere to be found.
"Why can't I relax?" Zuo Cidian scratched his head, and he panicked. If other doctors had such thin hair, they could at least get a PhD!
(End of this chapter)
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